Table 4.
Risk adjusted* HCAHPS overall and star rating scores for patient experience at accredited hospitals versus state survey hospitals
| HCAHPS score (95% CI) | P§ | |||
|---|---|---|---|---|
| Accredited hospitals† | State survey hospitals‡ | Difference | ||
| Summary star rating | 3.17 (3.14 to 3.20) | 3.35 (3.26 to 3.44) | −0.18 (−0.28 to −0.08) | <0.001 |
| Overall satisfaction | ||||
| Recommend the hospital | 3.23 (3.20 to 3.26) | 3.31 (3.2 to 3.4) | −0.09 (−0.20 to 0.03) | 0.15 |
| Overall hospital rating | 3.08 (3.04 to 3.11) | 3.25 (3.1 to 3.4) | −0.17 (−0.31 to −0.04) | 0.012 |
| Communication | ||||
| With physicians | 3.21 (3.18 to 3.24) | 3.48 (3.4 to 3.6) | −0.28 (−0.39 to −0.16) | <0.001 |
| With nurses | 3.39 (3.36 to 3.42) | 3.59 (3.5 to 3.7) | −0.19 (−0.31 to −0.08) | <0.001 |
| About treatments | 2.73 (2.71 to 2.76) | 2.94 (2.8 to 3.0) | −0.21 (−0.32 to −0.10) | <0.001 |
| Clinical processes | ||||
| Care transition | 2.99 (2.96 to 3.02) | 3.12 (3.0 to 3.2) | −0.13 (−0.24 to −0.01) | 0.04 |
| Discharge information | 3.28 (3.25 to 3.30) | 3.20 (3.1 to 3.3) | 0.08 (−0.03 to 0.18) | 0.14 |
| Pain management | 3.39 (3.36 to 3.42) | 3.47 (3.4 to 3.6) | −0.08 (−0.19 to 0.02) | 0.13 |
| Staff responsiveness | 3.11 (3.08 to 3.14) | 3.35 (3.3 to 3.5) | −0.24 (−0.35 to −0.13) | <0.001 |
| Hospital environment | ||||
| Quietness | 3.04 (3.01 to 3.07) | 3.27 (3.2 to 3.4) | −0.23 (−0.34 to −0.12) | <0.001 |
| Cleanliness | 2.92 (2.89 to 2.95) | 3.19 (3.1 to 3.3) | −0.27 (−0.37 to −0.16) | <0.001 |
HCAHPS=Hospital Consumer Assessment of Healthcare Providers and Systems.
*
Adjusted for hospital characteristics, county characteristics, critical access hospital status, and hospital referral region fixed effects.
†
Hospitals accredited by The Joint Commission and other independent accrediting organizations.
‡
Hospitals reviewed by a state survey agency.
§
P<0.01 was considered significant.